Healthcare Provider Details

I. General information

NPI: 1255250551
Provider Name (Legal Business Name): ASCENT TO EMPOWERMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 N LAKESHORE DR
BROWNS MILLS NJ
08015-2904
US

IV. Provider business mailing address

2801 N LAKESHORE DR
BROWNS MILLS NJ
08015-2904
US

V. Phone/Fax

Practice location:
  • Phone: 609-933-1415
  • Fax: 609-933-1415
Mailing address:
  • Phone: 609-326-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY DONALSON
Title or Position: OWNER
Credential:
Phone: 609-326-3609